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It is correct that the NHS and GP consortia cannot do without Good Management. Unfortunately Good Management is so rare in the NHS that we almost forget that these people do exist. Good Managers know who they are and others know who they are. They shouldn’t have any problem finding another suitable position in or outside the NHS. However, for all other managers who have hung on the coat tails of the Good Managers, there is no hiding. The NHS owes nobody a living.